Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Int Health. 2021 Jul 3;13(4):318-326. doi: 10.1093/inthealth/ihaa069.
In Ethiopia, evidence on the national burden of cardiovascular diseases (CVDs) is limited. To address this gap, this systematic analysis estimated the burden of CVDs in Ethiopia using the Global Burden of Disease (GBD) 2017 study data. The age-standardized CVD prevalence, disability-adjusted life years (DALYs) and mortality rates in Ethiopia were 5534 (95% uncertainty interval [UI] 5310.09 - 5774.0), 3549.6 (95% UI 3229.0 - 3911.9) and 182.63 (95% UI 165.49 - 203.9) per 100 000 population, respectively. Compared with 1990, the age-standardized CVD prevalence rate in 2017 showed no change. But significant reductions were observed in CVD mortality (54.7%), CVD DALYs (57.7%) and all-cause mortality (53.4%). The top three prevalent CVDs were ischaemic heart disease, rheumatic heart disease and stroke in descending order. The reduction in the mortality rate due to CVDs is slower than for communicable, maternal, neonatal and nutritional disease mortalities. As a result, CVDs are the leading cause of mortality in Ethiopia. These findings urge Ethiopia to consider CVDs as a priority public health problem.
在埃塞俄比亚，心血管疾病（CVD）的国家负担证据有限。为了解决这一差距，本系统分析使用 2017 年全球疾病负担（GBD）研究数据，估算了埃塞俄比亚 CVD 的负担。埃塞俄比亚的年龄标准化 CVD 患病率、残疾调整生命年（DALY）和死亡率分别为 5534（95%不确定度区间[UI]5310.09-5774.0）、3549.6（95% UI 3229.0-3911.9）和 182.63（95% UI 165.49-203.9）每 100000 人。与 1990 年相比，2017 年的年龄标准化 CVD 患病率没有变化。但 CVD 死亡率（54.7%）、CVD DALY（57.7%）和全因死亡率（53.4%）均显著下降。排名前三的常见 CVD 分别为缺血性心脏病、风湿性心脏病和中风。由于 CVD 导致的死亡率下降速度慢于传染病、孕产妇、新生儿和营养疾病死亡率。因此，CVD 是埃塞俄比亚死亡的主要原因。这些发现促使埃塞俄比亚将 CVD 视为优先公共卫生问题。
